Friduss M, Hoover L A, Alessi D, Robertson J
Division of Head and Neck Surgery (Otolaryngology), University of California Los Angeles School of Medicine 90024.
Ann Otol Rhinol Laryngol. 1987 Nov-Dec;96(6):695-7. doi: 10.1177/000348948709600617.
Endotracheal hemorrhage from the innominate artery is, fortunately, a rare problem encountered by the otolaryngologist. We present a patient with a tracheal-innominate artery fistula secondary to delayed rupture of a traumatic innominate artery aneurysm. The differential diagnosis of innominate artery hemorrhage is discussed, as is the management of this potentially lethal event. We propose, as the treatment of choice, cessation of hemorrhage through the use of a cuffed endotracheal tube, followed by ligation of the innominate artery using cardiopulmonary bypass. These techniques were used in this patient with a successful outcome.
幸运的是，无名动脉导致的气管内出血是耳鼻喉科医生遇到的罕见问题。我们报告一例因创伤性无名动脉瘤延迟破裂继发气管-无名动脉瘘的患者。文中讨论了无名动脉出血的鉴别诊断以及对这一潜在致命事件的处理。我们建议，作为首选治疗方法，先使用带气囊的气管内导管止血，然后在体外循环下结扎无名动脉。这些技术应用于该患者并取得了成功的结果。
